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Contact Information

SAMUEL C BLACKMAN, MD, PHD
34TH & CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA19104
 Phone: 215-590-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL C BLACKMAN · (Male)

NPI # 1790782605
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 07/07/2005
Last updated 10/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 220358
  • PA License # MD433904
  • KY Medicaid 64065881
  • PA Other 20074409 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
  • PA Other 20074413 AMERIHEALTH MERCY HEALTH PLAN --ONCOLOGY
  • PA Other 11372260 CAQH ID
  • PA Other 30052688 KEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICS
  • PA Other 30052689 KEYSTONE MERCY HEALTH PLAN --ONCOLOGY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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